JONATHAN ROBERT BALTZELL

CHARLOTTE, NC
NPI1457350258
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  102359)
Enumeration Date2005-07-14
Last Update Date2014-04-01
Business Address
Mr. JONATHAN ROBERT BALTZELL PA-C
10210 COULOAK DR SUITE E
CHARLOTTE, NC 28216-7679
Phone number: 704-801-2000
Mailing Address
Mr. JONATHAN ROBERT BALTZELL PA-C
PO BOX 602478
CHARLOTTE, NC 28260-2478
Phone number: 704-801-2000
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